精准血压管理对颈动脉支架置入术后患者脑高灌注综合征发生率的影响

摘要

目的 通过对颈动脉支架置入术患者实施精准血压管理,降低颈动脉支架置入术后脑高灌注综合征的发生率.方法 采用目的抽样法,选择2015年1月—2016年7月在解放军总医院神经内科二病区行颈动脉支架置入术患者202例为对照组,给予神经介入围术期常规护理方法,选择2016年8月—2017年10月在病区行颈动脉支架置入术患者203例为观察组,给予精准血压管理.比较两组患者脑高灌注综合征的发生率.结果 对照组患者脑高灌注综合征发生率为8.91％,观察组脑高灌注综合征发生率为3.45％,两组比较差异有统计学意义(χ2=5.217,P=0.022).结论 精准血压管理可降低脑高灌注综合征发生率,提高治疗有效率,对患者的预后有良好作用,为临床护理工作提供精准的血压管理依据.%Objective To reduce the incidence of cerebral hyperperfusion syndrome (CHS) after carotid artery stenosis (CAS) by implementing precise blood pressure (BP) management for patients with CAS. Methods From January 2015 to July 2016, we selected 202 patients with CAS into control group by purposive sampling implementing perioperative conventional nursing of neurological intervention in the Second Ward of Neurology Department of Chinese PLA General Hospital. From August 2016 to October 2017, we selected 203 patients with CAS into observation group giving precise BP management. We compared the incidence of CHS of patients between two groups.Results The incidence of CHS was 8.91％ and 3.45％ in control group and observation group respectively with a significant difference (χ2=5.217,P=0.022).Conclusions Precise BP management can reduce the incidence of CHS and increase the effective rate of treatment. It has good effects on patients' prognosis and provides a basis of precise BP management for clinical nursing.